dr. chally- florida board of nursing notes

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Pamela S. Chally, PhD, RN Member, Florida Board of Nursing, 1999 - 2004 Dean, Brooks College of Health University of North Florida Jacksonville, FL

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Page 1: Dr. Chally- Florida Board of Nursing Notes

Pamela S. Chally, PhD, RN

Member, Florida Board of Nursing, 1999 - 2004

Dean, Brooks College of Health

University of North Florida

Jacksonville, FL

Page 2: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Mission

To protect the health,safety and welfare of thepublic by regulating thepractice of nursing in Florida

Page 3: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Authority

F. S. Chapter 464 - Nurse Practice Act F. S. Chapter 456 - MQA Board has the authority to promulgate rules to

implement the statutes F. A. C. 64B9--------------------------------------------------------------- Statutes are broad - rules are specific Once promulgated, rules have the force of

law

Page 4: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Composition of the Board

13 Members appointed by the Governor 7 RNs - one educator, one

administrator, one ARNP 3 LPNs Nurses must have been in practice at

least four years 3 Consumers - no ties to

a healthcare agency

Page 5: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Board Meetings Public Notice Organization Chair/Vice Chair Board Members Board Counsel Respondents IPN Executive Director Court Reporter Audio

Page 6: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Public Protection

Establish licensure and certification standards for LPN, RNs, and AANP

Approve nursing programs Set continuing education requirements and

audit Discipline nurses who violate the practice act Regulate certification, education and

discipline of CNAs

Page 7: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Active Licenses

Licensure Statistics

7/1-6/30 2004 2005 2006 2007 2008 2010

RN 191,737 199,549 198,324 169,555 175,581 242,181

ARNP 10,762 11,471 12,215 10,528 11,094 15,809

LPN 55,940 62,284 60,279 57,561 55,735 74,380

Total Nursing

247,677 273,304 270,818 237,644 242,410 332,370

Page 8: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Licensure

Examination and endorsement application processing

Name and address changes Verification out of state Fingerprint/FDLE checks Reactivations

Page 9: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Education Responsibilities

Review of new programs Continuing education provider

applications Certification of ARNPs CNA programs

Page 10: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Continuing Education Requirements

All Florida-licensed RN’s and LPNs are now in a 24-month renewal cycle and must complete 24 hours of appropriate continuing education during each renewal period. One (1) contact hour is required for each calendar month of the licensure cycle, including two (2) hours on Prevention of Medical errors. HIV/AIDS is now a one-time, 1-hour CE requirement to be completed prior to the first renewal. Domestic Violence CE is now a 2-hour requirement every third renewal.

Page 11: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Continuing Education Requirements

Appropriate subject matter for continuing education are those which meet the professional education needs of the licensee including:

1) Nursing practice areas and special health care

problems.2) Biological physical, behavioral, and social sciences.3) Legal aspects of health care.4) Management/administration of health care

personnel and patient care.

Page 12: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Continuing Education Requirements Continued

5) Teaching/learning process of health care personnel and patients.

6) Subjects at an accredited education institution that are taken and are advanced beyond that completed for original licensure.

7) Personal development subject matter must include application of content as it relates to improved patient care.

Page 13: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Continuing Education Requirements Continued

Nurses licensed by examination, in any state, during the current renewal period are exempt from additional continuing education requirements for the first renewal period only.

Page 14: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

CNA Unit

CNA registry CNA reciprocity CNA exemptions from

disqualification of employment in long-term care

Page 15: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Licensure Application Process for New Graduates

Submit application approximately one week prior to completion date

Make sure all lines and boxes are filled in

Insure appropriate health professional attests to good mental and physical health

Check that notary has witnessed your signature

Page 16: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Licensure Application Process Continued

Tell the truth regarding arrest and conviction history

Work only after you have received the letter from the Board and the letter authorizing you to test

Expect processing to take at least three to four weeks if all materials are complete

Page 17: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Crimes or License Discipline that must

be reported on the application All convictions, guilty pleas and nolo

contendere pleas must be reported, except for minor traffic violations not related to the use of drugs or alcohol. This includes:

• misdemeanors• felonies• “driving while intoxicated” (DWI)• “driving under the influence” (DUI)

Page 18: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Crimes or License Discipline that must

be reported on the application

All prior or current disciplinary action against another professional license must be reported, whether it occurred in Florida or in another state or territory.

Page 19: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Graduate Nurse Status

G.N. status is valid for six months from date of graduation

As a graduate nurse, you must work under direct supervision of a RN

If you fail the licensing exam, you cannot practice nursing until you pass

Page 20: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Discipline Process Board has authority to discipline nurses

who violate the law Agency for Health Care Administration

(AHCA) performs the investigative and prosecutorial functions for all health care boards

Page 21: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Discipline Process Continued

Complaint• patient/family• employer• board office• anonymous• confidential

Investigation if legally sufficient

Page 22: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Discipline Process Continued

Probable cause panel• closed• letter of guidance• finding of violation

Formal administrative complaint• confidential until 10 days after

probable cause is found

Page 23: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Discipline Process Continued

Election of rights• informal hearing

• admit violation, explain mitigation

• Formal hearing• Disputes facts

• Stipulation agreement• arranged with AHCA attorney

• Voluntary relinquishment

Page 24: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Discipline Process Continued

Board’s role• accept stipulation

• offer counter stipulation

• consider recommended order of administrative law judge (ALJ) and impose discipline

• impose discipline for informal hearing

Page 25: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Discipline Process Continued

Possible penalties• reprimand• fine• continuing education courses• probation with conditions• suspension• revocation

Page 26: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Discipline Process Continued

Appeal rights offered to • applicants whose applications are

denied

• nurses whose licenses have been disciplined

• nurses/ CNAs whose applications for exemptions have been denied

Page 27: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Intervention Project for Nurses

Established by Florida statute Nurses/CNAs can enter voluntarily with

no report to the Board Nurses/CNAs can be ordered to enter

IPN If Board-ordered, non-participation can

result in suspension Approximately 1,000 referrals per year

Page 28: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Florida Center for Nursing

Our Vision:

The Florida Center for Nursing is the definitive source for information, research, and strategies addressing the dynamic nurse workforce needs in Florida

Our Mission:

Address strategically the issues of nursing supply and demand to meet the needs of health care consumers in Florida.

Page 29: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Florida Center for Nursing

Our Mission continued:

Generate and disseminate credible information to consumers of healthcare professional organizations, healthcare providers, educational institutions, and legislators; and

Identify and promote innovative recognition, reward, and renewal activities for nurses and potential nurses.

Page 30: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Future Legislative Ideas ARNP Prescription of

Controlled Substances

49 of 50 State Permit District of Columbia Also

Permits Florida Does Not!

Page 31: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Future Legislative Ideas

Nurse Staffing Ratios

Requires health care facilities to implement a nurse to patient staff plan

Funding for the Florida Center for Nursing

Page 32: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

Internet Site and Telephone

www.doh.state.fl.us/mqa/nursing

Phone Number:

(850) 245-4125

Page 33: Dr. Chally- Florida Board of Nursing Notes

FlorIda Board

of

NursIng

ContactMr. Joe Baker, Jr., Executive Director(850) 245-4158 or email: [email protected]

Licensure Unit: (850) 245-4125

Education Unit: (850) 245-4125

Remediation Unit: (850) 245-4125

Intervention Project for Nurses:(904) 270-1620, FAX (904) 270-1633(800) 840-2720

Certified Nursing Assistant Registry:(850) 245-4567, FAX (850) 488-4281

Page 34: Dr. Chally- Florida Board of Nursing Notes

Time for Questions

Thank you for your time and attention